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General NPI Number Information
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NPI Number | 1083959621
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Entity Type | Individual
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Provider Name | ALICE DEUTSCH MENDYKOWSKI APRN
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Gender | Female
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Dates
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Enumeration Date | 12/08/2012
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 30 AULIKE ST STE 300
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City | KAILUA
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State | HI
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Zip | 96734-2751
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Country | US
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Telephone | 808-263-5015
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Fax | 808-263-5015
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Provider Business Mailing Address
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Address Line | 46-078 EMEPELA PL APT J201
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City | KANEOHE
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State | HI
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Zip | 96744-3960
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Country | US
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Telephone | 805-404-4859
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Fax | 808-263-5054
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-1522
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1522
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License Number State | HI
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